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EDINTERNATIONAL / / U �L o <br /> CORPORATOION REQUEST FOR ANALYSIS RiA control No. 276055 <br /> C/C Control No. 2b51'19 <br /> PROJECT NAME `iTCS 'L1��C�. ) DATE SAMPLES SHIPPED <br /> PROJECT NUMBER \�l©R47_. 7 LAB DESTINATION <br /> PROFIT CENTER NUMBER LABORATORY CONTACT <br /> PROJECT MANAGER T)s1a02.0 SEND LAB REPORT TO S <br /> BILL TO A52s5 �! R� r r ,�til 1 LAS?z�'—RI \' r �-3--hW <br /> M7_7 NA-V7 ca <br /> DATE REPORT REQUIRED 11 I-1 I q <br /> PURCHASE ORDER NO. PROJECT CONTACT S. tom.`I S <br /> PROJECT CONTACT PHONE NO. (415) l Z-Q 100 <br /> Sample No. Sample Type Sample Volume Preservative Requested Testing Program Special Instructions <br /> A <br /> SIMS0 r, ZC 'L H ~ �T- 24KT rJ <br /> /OA t To}o,1 1e.q� <br /> A <br /> t t <br /> rzA %%05 <br /> t : RA 1 <br /> r`FP` t <br /> /SA <br /> 11055 1 <br /> TURNAROUND TIME REQUIRED: (Rush must be approved by the Laboratory Project Manager.) QC LEVEL: (Levels II and III subject to surcharge;project-specific requirements must be <br /> submitted to lab before beginning work.) <br /> Normal Rush�)( (Subject to rush surcharge.) I II III Project Specific <br /> POSSIBLE HAZARD IDENTIFICATION: (Please indicate if sample(s)are hazardous materials and/or suspected to contain high levels of hazardous substances.) <br /> Non-hazard XFlammable Skin Irritant Highly Toxic Other <br /> SAMPLE DISPOSAL: (Please indicate disposition of sample fallowing analysis.Lab will charge for packing,shipping,archive and disposal.) (Please specify) <br /> Return to Client Disposal by Lab 3. Archive (Indicate number of months.) <br /> FOR LAB USE ONLY ti + r— <br /> Received by Date/Time l �� �J <br /> WHITE-Original,to accompany samples 126A.10-85 <br /> YELLOW-Field copy <br />